Dr. House

Problems with prostate? Flomax not working? Try the all natural way of reducing the size of your prostate. http://i39.tinypic.com/idyqzq.gif

That's hardcore.

I don't know if you're currently on the above mentioned drugs or are usually this inept about stuff, but you're pretty much wrong about most of what you said. http://i40.photobucket.com/albums/e221/razadoro/house.jpg

Results 1 - 10 of about 103,000,000 for Dr. House. (0.20 seconds)

Ummm... psychiatry is one possible field you go into after medical school.

How does this accomplishment make you feel?

rifk @ [myg0t]Altman

http://www.amnestyusa.org/lordofwar/i/lordofwar2.jpg

rifk

Wow... where do you get this much free time?

Just for fun, time for a doctor's consult to show how many things are wrong with this story. 1) Prolapsed colon would never occur with whole peanuts and vitamin pills in the particulate matter. Anything that is digestable such as peanuts and pills will be broken down by peristalsis and acidic chyme in the stomach before it is even pass through the pyloric sphincter into the small intestines. For what this person is claiming to be true, his entire stomach would practically have had to be pulled out. 2) Half of the colon is retroperitoneal, meaning that the pain experienced by the tearing of the colon from the peritoneal wall would be a somatic pain similar to ripping a large portion of skin from your body. It wouldn't be so painless that he wouldn't notice. It'd be so painful that it would feel like the entire posterior wall of his abdomen was being ripped open. 3) Loss of colon wouldn't cause the person to be unable to eat solid foods. Only a resection of the pyloris of the stomach would cause this problem. The main function of the colon is water reabsorption and sodium reabsorption, in addition to secretion of potassium. No nutrient absorption such as sugars, proteins, or fat are absorbed in the colon. All of those types of nutrients are absorbed in the jejunum, which is located proximal to the colon. By the time the chyme enters the colon, the only things remaining would be indigestable material such as fiber and waste products. Thus, the person wouldn't lose any weight due to loss of colon, but rather he would have to worry about issues of dehydration. 4) Sperm cells in water die in a short time, especially considering the pool contains chlorine. Sister getting pregnant from this sort of thing would be impossible.

Give a kid hemorrhoids with it.

lol

lol @ these mod threads

Blood test negative for GRIDS, lack of arousal towards members of the same sex. DDx fails.

You being mod would be like saying I'm going to be the forum mod lol.

It's the second segment of the small intestines. http://en.wikipedia.org/wiki/Jejunum

I'm disappointed, you didn't try really hard on this case. It's not even that rare of a disease either. It's an autoimmune disease called Celiac Sprue. Autoimmune disease where your body's immune system attacks the villi of your duodenum and jejunum, resulting in the inability to absorb nutrients such as sugar and fat, which is why the patient had the above mentioned nutrients found in his stool. Also, the duodenum is responsible for absorbing iron, so his inability to absorb iron results in low hematocrit and anemia. Hypocalcemia is due to inability to absorb calcium, which also occurs in the duodenum. Elevated prothrombin time and ease of bruising is due to inability of the body to absorb Vitamin K, which is a necessary vitamin in the processing of clotting factors VII, X, IX, and prothrombin. Finally, the pathology report of destruction of the villi along with hypertrophy of the intestinal crypts are consistent with the diagnosis.

wtf?

I've spent 0 days getting assraped by random people. You win.

It's not lupus! It's never lupus.

Not a bad idea, only internal injuries severe enough to cause low hematocrit would present with a peritoneal hematoma, which this person did not exhibit. Also, patient denies any sort of recent trauma. Bruises came from trauma that occurred a long time ago, and claims that none of those injuries in the past were ever that severe. Hemophilia is a possible explanation for the ease of bruising and elongated PTT time. However, it doesn't explain any of the other symptoms. One final bit of workup: The stool samples were analyzed further and found that there was even the presence of glucose in the stool. What would cause a person to have symptoms resembling hemophilia, severe diarrhea, anemia, and the presence of fat and sugars in the stool?

Oh come on, noone wants to venture a differential? If noone gets in the next few hours, I'll post the diagnosis, but that's not as fun.

Also, abdominal distension does not appear to be due to ascites fluid buildup in the peritoneum. It's not due to portal vein hypertension.

Patient reports painful abdominal distension. Liver pathology isn't a bad differential, to be honest, low albumin and elevated INR along with abdominal pain are symptoms of a liver condition. However, physical exam could not palpate liver, indicating no enlarge liver. Also, patient did not appear jaundiced or exhibit asterexis. Liver function tests reveal elevated ALT and AST levels, but not high enough to be conclusive for hepatic inflammation. Hepatitis A, B, and C RNA tests are negative.